But if the arm be dislocated backward (but this very rarely happens, and
it is the most painful of all, and the most subject to bilious fevers of
the continual type, which prove fatal in the course of a few days), in
such a case the patient cannot extend the arm. If you are quickly present,
by forcible extension the parts may return to their place of their own
accord; but if fever have previously come on, you must no longer attempt
reduction, for the pain will be rendered more intense by any such violent
attempt. In a word, no joint whatever should be reduced during the prevalence
of fever, and least of all the elbow-joint.